Enrolment

The After-School Programme costs $16.50 per afternoon per child. Please fill in the relevant fields below and click ‘Submit’. If you don’t receive a confirmation email within a few minutes, please phone or email the coordinator to check your enrolment was received.

Enrolment for Child One

Enrolment for Child Two

Enrolment for Child Three

How many Children are you enrolling?*

Which site are you enrolling in?*

Spreydon Site

Aidanfield Site

Child One's Details

Child's Name(1)*

FirstLast

Age*

Please enter a value between 1 and 18.

Gender*

Male

Female

Date of birth*

School

Year at school this year

Medication

Any medication required during programme is to be provided by parent/caregiver

Dosage (if any medication)

Please select the days and programmes you wish your child to attend SHARP Afterschool. Prices are per week. You will be charged the first week's fee as a deposit.

Attend programme every day of the week

After-School every day of the week

OR Attend programme only these days of the week

Monday

Tuesday

Wednesday

Thursday

Friday

Intermediate children (10 year olds & older only)

I give permission for the child above to sign themself out at the time below

I give permission for my details to be given out and to receive details about other Intermediate children that are walking to SHARP

Intermediate child self sign out time (if applicable)

:HH

MM

Child Two's Details

Child's Name(2)*

FirstLast

Age*

Please enter a value between 1 and 18.

Gender*

Male

Female

Date of birth*

School

Year at school this year

Medication

Any medication required during programme is to be provided by parent/caregiver

Dosage (if any medication)

Attend programme every day of the week

After-School every day of the week

OR Attend programme only these days of the week

Monday

Tuesday

Wednesday

Thursday

Friday

Intermediate children (10 year olds & older only)

I give permission for the child above to sign themself out at the time below

I give permission for my details to be given out and to receive details about other Intermediate children that are walking to SHARP

Intermediate child self sign out time (if applicable)

:HH

MM

Child Three's Details

Child's Name(3)*

FirstLast

Age*

Please enter a value between 1 and 18.

Gender*

Male

Female

Date of birth*

School

Year at school this year

Medication

Any medication required during programme is to be provided by parent/caregiver

Dosage (if any medication)

Attend programme every day of the week

After-School every day of the week

OR Attend programme only these days of the week

Monday

Tuesday

Wednesday

Thursday

Friday

Intermediate children (10 year olds & older only)

I give permission for the child above to sign themself out at the time below

I give permission for my details to be given out and to receive details about other Intermediate children that are walking to SHARP

Intermediate child self sign out time (if applicable)

:HH

MM

Total cost per week

Total weekly cost / deposit

$0.00

Parent / Caregiver's Details

Parent/Caregiver 1

Name*

FirstLast

Relationship to child*

Date of birth*

Home phone number

Work phone number

Cell phone number*

Email*

Address

Parent/Caregiver 2 (if applicable)

Name

FirstLast

Parent/Caregiver 2 Relationship to child

Home phone number

Work phone number

Cellphone number

Email

If your child is in shared care and will be paid for by different parents/caregivers, please indicate which days will be paid by who

Parent/caregiver 1's days to pay

Monday

Tuesday

Wednesday

Thursday

Friday

Parent/caregiver 2's days to pay

Monday

Tuesday

Wednesday

Thursday

Friday

Emergency Information (Must differ from above)

Emergency contact person 1*

FirstLast

Relationship to child*

Emergency daytime phone*

Emergency cellphone*

Emergency contact person 2*

FirstLast

Relationship to child*

Emergency daytime phone*

Emergency cellphone*

Family Doctor name and phone number*

OTHER INFO

How did you hear about SHARP?

Church Newsletter

Facebook

Friend

Family Times

School Newsletter

Additional people authorised to collect my children

People who may not collect my child (possibly due to custodial issues)

Start Date*

Will you be applying for the OSCAR Subsidy from WINZ?*

Yes

No

Agreement / Submission

You must either read and agree to the terms and conditions by signing your name below OR you will need to come in and sign a hard copy.Payment details:
In line with SHARP policy, fees are to be paid one week in advance. The SHARP bank account number for automatic payment is: 02 0820 0602250 000